Health Insurance (Diagnostic Imaging Services Table) Amendment Regulations 2009 (No. 1)1
Select Legislative Instrument 2009 No. 60
I, QUENTIN BRYCE, Governor‑General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.
Dated 9 April 2009
QUENTIN BRYCE
Governor‑General
By Her Excellency’s Command
NICOLA ROXON
1 Name of Regulations
These Regulations are the Health Insurance (Diagnostic Imaging Services Table) Amendment Regulations 2009 (No. 1).
2 Commencement
These Regulations commence on the day after they are registered.
3 Amendment of Health Insurance (Diagnostic Imaging Services Table) Regulations 2008
Schedule 1 amends the Health Insurance (Diagnostic Imaging Services Table) Regulations 2008.
Schedule 1 Amendments
(regulation 3)
[1] Schedule 1, subrule 31 (1)
omit
(2) and (2A),
insert
(2), (2A) and (2B),
[2] Schedule 1, after subrule 31 (2A)
insert
(2B) If a service described in an item mentioned in subrule (1) is performed with eligible equipment described in paragraph 36 (1) (f), the item for the service applies only if:
(a) for a service performed on a concessional beneficiary or a child under 16 — the maximum charge is the sum of the medicare benefit and any private health insurance benefit payable for the service; and
(b) all the conditions of the agreement, mentioned in the following table, that applies to the eligible equipment are met.
Item | Details of the agreement | Agreement date |
1 | Terms of Agreement between the Commonwealth and Southern Health for the provision of a Medicare‑eligible MRI service at Monash Medical Centre, 246 Clayton Road, Clayton, Victoria | 25 November 2008 |
2 | Terms of Agreement between the Commonwealth and PB Imaging Pty Ltd, as agent for Southern Radiology, for the provision of a Medicare‑eligible MRI service at Suite 1, 38‑40 Urunga Parade, Miranda, New South Wales | 25 November 2008 |
3 | Terms of Agreement between the Commonwealth and Bundaberg Radiology Pty Ltd, as trustee for Bundaberg Radiology Trust, for the provision of a Medicare‑eligible MRI service at the Bundaberg Mater Misericordiae Hospital, 313 Bourbong Street, Bundaberg, Queensland | 18 December 2008 |
4 | Terms of Agreement between the Commonwealth and Melbourne Health for the provision of a Medicare‑eligible MRI service at Radiology Department, Level 1, Clinical Services Building, Royal Melbourne Hospital, Grattan Street, Parkville, Victoria | 23 December 2008 |
5 | Terms of Agreement between the Commonwealth and Pacific Medical Imaging Pty Ltd, as trustee for Pacific Medical Imaging Unit Trust trading as Hunter Imaging Group, for the provision of a Medicare‑eligible MRI service at Suite 1, Maitland Specialist Centre, Maitland Private Hospital, corner Chisholm Road and New England Highway, East Maitland, New South Wales | 22 December 2008 |
6 | Terms of Agreement between the Commonwealth and SKG Radiology Pty Ltd for the provision of a Medicare‑eligible MRI service at SKG Radiology Kelmscott, 2964 Albany Highway, Kelmscott, Western Australia | 11 November 2008 |
7 | Terms of Agreement between the Commonwealth and SKG Radiology Pty Ltd for the provision of a Medicare‑eligible MRI service at SKG Radiology Duncraig, Units 3‑5, 54 Arnisdale Road, Duncraig, Western Australia | 11 November 2008 |
[3] Schedule 1, subrule 34 (2)
omit
paragraph 36 (b), (c), (d) or (e)
insert
paragraph 36 (1) (b), (c), (d), (e) or (f)
[4] Schedule 1, rule 36
omit
For rule 31,
insert
(1) For rule 31,
[5] Schedule 1, sub‑subparagraph 36 (e) (iii) (B)
omit
services.
insert
services; or
[6] Schedule 1, after paragraph 36 (e)
insert
(f) equipment that:
(i) is situated in a location specified in column 2 of an item in Table 3; and
(ii) is described in columns 3 and 4 of that item by reference to the manufacturer, scanner model and magnet strength; and
(iii) forms part of a comprehensive radiology department, or a medical practice, that provides x‑ray, computed tomography and ultrasound services; and
(iv) except for periods reasonably required for maintenance, repairs and upgrades, is available for use at least from 9 am to 5 pm, Monday to Friday, excluding public holidays.
[7] Schedule 1, rule 36
insert
(2) In this rule:
medical practice means:
(a) a medical practice conducted by a group of practitioners within the meaning of subsection 16A (9) or (10) of the Act or by a sole practitioner; or
(b) a medical entrepreneur as defined in section 3 of the Act.
[8] Schedule 1, rule 36, after Table 2, before the notes
insert
Table 3 Eligible equipment — paragraph 36 (1) (f)
Item | Location | Manufacturer and scanner model | Magnet strength |
1 | Monash Medical Centre | Siemens | 1.5T |
2 | Suite 1 | General Electric | 1.5T |
3 | Bundaberg Mater Misericordiae Hospital | General Electric | 1.5T |
4 | Radiology Department | Siemens | 3.0T |
5 | Suite 1 | General Electric | 1.5T |
6 | SKG Radiology Kelmscott | Siemens | 1.5T |
7 | SKG Radiology Duncraig | Siemens | 1.5T |
[9] Schedule 1, Part 3, item 63464
after
woman is
insert
asymptomatic and is
[10] Further amendments
Provision | omit | insert |
Subrule 31 (2) | paragraph 36 (c) | paragraph 36 (1) (c) |
Subrule 31 (2A) | paragraph 36 (e), | paragraph 36 (1) (e), |
Subrule 34 (1) | paragraph 36 (a) | paragraph 36 (1) (a) |
Rule 36, Table 1, heading | paragraph 36 (c) | paragraph 36 (1) (c) |
Rule 36, Table 2, heading | paragraph 36 (d) | paragraph 36 (1) (d) |
Note
1. All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See http://www.frli.gov.au.